Data Entry in Vision+

The Codeset Codes data entry screen is the most used tool in Vision+. From this screen you can list and select individual or multiple clinical terms. To access the Codeset Codes data entry screen:

1. From Consultation Manager, select a patient and open a Consultation.
2. If your practice uses Problems, open or create the relevant Problem.
3. The alerts screen displays showing data that is missing from the patient record, see Vision+ Alert Indicator:

   

4. From the alerts screen you can either:
   • Double click on the indicator line,
   • Highlight the Indicator line and select Contract on the toolbar,
   • Right click and select Contract .
5. The Codeset Codes screen displays:

   

6. In the Apply column, select the code you wish to use. You can also make selections from the other columns:
   • Priority - Select from the drop-down list. If left blank the Priority is the same as your default setting.
     Note - Where the entry does not require a Priority, for example tests, any selection is ignored and is not written back to the patient's record.
   • Episode Type - Select the Episode Type from the drop-down list. If not selected the Episode defaults to blank.
     Note - Where the entry does not require an Episode Type, for example tests, any selection is ignored and not written back to the journal.
   • Date Recorded - Enter a date or select the drop-down list to display a calendar.
   • Code - This is the clinical term and is for information only.
   • Description - This is for information only and cannot be changed.
   • Value - Use for recording data requiring numeric values.
   • Comments - Optional free text comments can be accessed from a pre-defined list. Alternatively, you can enter free text comments.
   • Comments - Select to setup a pre-defined list of items. To enter a new comment start typing. If you press return you move to a new line as if you are creating a new comment. Select OK to save the changes.
   • Show More - Some clinical term lists are quite exhaustive which is why the list displays the most commonly used codes. Select Show More to expand the selection.
   Note - The Apply column is automatically ticked if you change any of the other columns.
7. Select OK to record the data to the patient record.

The alert for the missing data is now removed from the alert screen.